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Patient Inspired. Outcomes Driven. LOST IN TRANSLATION: THE COMMUNICATION GAP IN PATIENT SERVICES US Results Survey of 182 US-based healthcare professionals on what their awareness, use and value of patient services is across five therapeutic areas and general practitioners.

KEY FINDING #1 MOST HCPs ARE NOT VERY AWARE OF PATIENT SERVICES 2 ACROSS ALL COUNTRIES SURVEYED, JUST 40% OF HCPs ARE VERY AWARE OF PATIENT SERVICES THIS RISES TO 51% IN THE US 40% VERY AWARE 51% VERY AWARE 5% SOMEWHAT AWARE 3% SOMEWHAT AWARE 55% NOT AWARE 46% NOT AWARE Q.1. How aware do you feel you are of patient services programs within your therapeutic area/area of practice? Single-coded question

KEY FINDING #1 MOST HCPs ARE NOT VERY AWARE OF PATIENT SERVICES 3 Sales reps are the primary way HCPs hear about patient services, but most aren t talking about them. Almost half (46%) of HCPs hear about patient services from sales reps less than 25% of the time. ALL COUNTRIES 76% - 100% OF THE TIME 51% - 75% OF THE TIME 26% - 50% OF THE TIME <25% OF THE TIME NEVER 11% 16% 27% 36% 10% 46% 18% 19% 26% 25% 11% 36% US 76% - 100% OF THE TIME 51% - 75% OF THE TIME 26% - 50% OF THE TIME <25% OF THE TIME NEVER In the US, HCPs hear about patient services more frequently, but more than 1/3 still only hear about them from sales reps less than 25% of the time. Q.8. How often do you hear about patient services during in-person visits from Sales Reps? Single-coded question

KEY FINDING #2 HCPs DON T FREQUENTLY TALK ABOUT PATIENT SERVICES WITH THEIR PATIENTS 4 OVERALL, JUST 15% OF HCPs ALWAYS PERSONALLY SHARE INFORMATION ON PATIENT SERVICES THIS IS SIMILAR IN THE US (16%), BUT A SLIGHTLY HIGHER PROPORTION STATE THEY SOMETIMES SHARE INFORMATION ALWAYS SOMETIMES 16% 1% 12% ALWAYS SOMETIMES RARELY NEVER 71% RARELY NEVER Q.19. How often do you personally share information regarding available patient services with your patients? Single-coded question

KEY FINDING #3 HCPs SEE BETTER PATIENT OUTCOMES AS THE PRIMARY REASON FOR USING SERVICES WITH PATIENTS 5 This holds true for the US. More HCPs in the US felt patient services had little/no benefit, however, more also saw lowering overall healthcare costs as a primary reason for using services. They help me deliver a better patient outcome 28% 26% They help me provide patient care and support outside of my office environment and it easier for my patients to self-manage their disease 21% 20% They provide valuable information to my patients 19% 16% They have little/no benefits They lower overall healthcare costs 10% 14% 17% 15% ALL COUNTRIES US Q.15. Please rank the following aspects of patient services in terms of how beneficial they are from the most beneficial aspect to the least beneficial aspect. Rating per option

KEY FINDING #3 HCPs SEE BETTER PATIENT OUTCOMES AS THE PRIMARY REASON FOR USING SERVICES WITH PATIENTS 6 Publication of results of improved patient outcomes would increase HCPs trust/belief in the value of patient services. This holds true in the US, however, all forms of evidence were rated slightly lower in building trust/belief in the value of patient services compared to overall findings. Publication of results 58% 63% Adherence rates to patient services Observational studies with patient services 37% 36% 35% 42% Testimonials from patients Case studies on patients who have used a patient service 28% 30% 35% 34% ALL COUNTRIES US Q.25. What type of evidence would you like to see to increase your trust/confidence in the value of these patient services? Multi-coded question

SO WHAT DO PHARMA COMPANIES DO ABOUT THIS? FILL THE COMMUNICATION GAPS TO ENCOURAGE MORE HCPs TO RECOMMEND PATIENT SERVICES SO THAT PATIENTS CAN ACHIEVE BETTER HEALTH OUTCOMES 7 R&D & COMMERCIAL GAP Rigorously generate evidence on the impact of patient services on outcomes starting with clinical trials PRODUCT AND SERVICE GAP Refocus commercial functions from developing and marketing brands to designing and marketing holistic patient solutions. ENGAGEMENT GAP Change the conversations with HCPs (and the market) to focus on outcomes across all channels and with greater frequency.

For global results, please visit: accenture.com/patientservicessurvey AUTHORS Keena Patel keena.b.patel@accenture.com Anthony Romito anthony.r.romito@accenture.com Copyright 2018 Accenture. All rights reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture.